It's shared savings season and the check has arrived. Now how do physicians divide it up fairly?
|Articles|April 13, 2021
Study: Personal loans increasingly going toward medical expenses
Author(s)Todd Shryock, Logan Lutton
Even with non-COVID care being avoided, patients are still having trouble making ends meet.
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Here are some of the key findings:
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Urban Institute analysis finds 26% of insured adults owe medical debt, with hospitals the largest source
A simple break-even calculation turns a reimbursement advantage into staff minutes, showing practices when prior authorization, denials and uncollected patient balances wipe out a better rate.
Recent CMS rule changes reinforce that operational discipline is increasingly shaping reimbursement
Medical Economics spoke with Monique Delgado, former CEO of Integrated Medical Services, about where salary-only pay falls short, which metrics to tie incentives to and how to change physician pay without eroding trust.
Coding scrutiny, payment gaps and a push for price caps show up across Trilliant Health's annual look at where U.S. health care is headed.
Trilliant Health's annual trends report traces primary care shortages, payment gaps and looming price caps to incentives no single stakeholder has reason to fix.
It's not a patient problem, it's an operations problem, and large practices and health systems need to treat it that way.
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